Emerald Coast Center for Neurological Disorders

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS

Practice address

1110 Airport Blvd
Ste B
Pensacola, FL 32504-8649

Phone

(850) 438-1136

Fax

(850) 438-1148

NPI assigned

Oct 6, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Antonette Mitchem

Title

Practice Manager

Phone

(850) 438-1136

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1396148292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 AIRPORT BLVD",
            "address_2": "STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048649",
            "telephone_number": "850-438-1136",
            "fax_number": "850-438-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 AIRPORT BLVD",
            "address_2": "STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048649",
            "telephone_number": "850-438-1136",
            "fax_number": "850-438-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "MITCHEM",
        "authorized_official_first_name": "ANTONETTE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "850-438-1136"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275377400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dany Elsayah, MD
• Embodied Practice, LLC
• Embrace Home Care Service
• Emerald Coast Acupuncture LLC
• Emerald Coast Assessment and Counseling Center, LLC
• Emerald Coast Center for Neurological Disorders
• Emerald Coast Companion Services, LLC
• Emerald Coast Dental Sleep Solutions, Inc.
• Emerald Coast Family Physicians LLC
• Emerald Coast Foot and Ankle Center PLLC

• Non-Pharmacy Dispensing Site in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.